The chest x-ray in antiglomerular basement membrane antibody disease (Goodpasture's syndrome)

Goodpasture’s Disease

“…The radiological manifestations reflect the presence of diffuse pulmonary hemorrhage and consist of patchy or confluent bilateral areas of consolidation (Bowley et al 1979). The consolidation can be diffuse, but tends to involve mainly the perihilar regions and spare the lung apices and the costophrenic angles (Bowley et al 1979;Müller and Miller 1991).…”

“…The consolidation can be diffuse, but tends to involve mainly the perihilar regions and spare the lung apices and the costophrenic angles (Bowley et al 1979;Müller and Miller 1991). Less common findings include ground-glass opacities and migratory areas of consolidation (Müller and Miller 1991).…”

“…Less common findings include ground-glass opacities and migratory areas of consolidation (Müller and Miller 1991). The chest radiograph, however, can be normal in the setting of diffuse pulmonary hemorrhage (Bowley et al 1979). In one review of 39 patients, Bowley et al found the chest radiograph to be normal in 7 (18%) cases (Bowley et al 1979).…”

“…The chest radiograph, however, can be normal in the setting of diffuse pulmonary hemorrhage (Bowley et al 1979). In one review of 39 patients, Bowley et al found the chest radiograph to be normal in 7 (18%) cases (Bowley et al 1979). The CT manifestations of acute pulmonary hemorrhage consist of bilateral ground-glass opacities or areas of consolidation (Figs.…”

“…The consolidation usually resolves within 23 days and is replaced by a reticulonodular pattern and interlobular septal thickening. Findings on chest radiography may occasionally be normal despite the presence of diffuse pulmonary hemorrhage (Bowley et al 1979).…”